Provided I wasn't being vectored, then from the south within +/-30 deg of the outbound I'd track directly over MAJOR and start timing (if no DME) for the 10 nm procedure turn. If outside the 30 deg arcs then I'd either do the sector entry for the MAJOR hold or track via CASH to MAJOR and then direct outbound.
The presumption in the US is vector for final. Once put into a suitable intercept position the instruction would be something like "Cleared for KABC Rwy 18 ILS approach. Maintain 2000' until established on the LOC". At some point you would also be told to contact TWR 118.0" OR given cancellation instructions and then released to the CTAF frequency.
If you want the whole procedure you would have to tell ATC that you want the full approach, how you want to get there eg pilot intepreted or vector to a position, and if you want to enter the hold. In the hold and ready to do the approach tell ATC & they'll clear you for the approach. At that point you can slide over to the outbound track from outbound in the hold.
Last edited by Tinstaafl; 26th October 2010 at 23:23.